Organization
SOUTHERN OREGON PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWNYA FREUDENTHALER CADCI (OWNER/COUNSELOR)
(541) 450-9615
Entity
Organization
Contact information
Practice address
418 NW 6TH ST, GRANTS PASS, OR 97526-2006
(541) 450-9615
Mailing address
195 DETRICK DR, GRANTS PASS, OR 97527-7922
(541) 450-9615
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
03/24/2022
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